Helping alliance and early dropout from psychiatric out-patient care The influence of patient factors.
Johansson, Håkan LU and Eklund, Mona LU
(2006)
In Social Psychiatry and Psychiatric Epidemiology
41(2).
p.140-147
- Abstract
- Background The study examined client factors
of relevance in the establishment of helping alliance
and in the prediction of dropout from a routine
psychiatric setting admitting a variety of diagnoses and
staffed with a multiprofessional team. Method Newly
admitted patients (n=122) and staff completed questionnaires
regarding helping alliance, and the patients
also completed questionnaires regarding motivation,
symptoms and interpersonal problems. The patients
were also diagnosed according to ICD-10 and were
followed up concerning early dropout. Results Several
variables correlated with helping alliance, and multivariate
analyses... (More) - Background The study examined client factors
of relevance in the establishment of helping alliance
and in the prediction of dropout from a routine
psychiatric setting admitting a variety of diagnoses and
staffed with a multiprofessional team. Method Newly
admitted patients (n=122) and staff completed questionnaires
regarding helping alliance, and the patients
also completed questionnaires regarding motivation,
symptoms and interpersonal problems. The patients
were also diagnosed according to ICD-10 and were
followed up concerning early dropout. Results Several
variables correlated with helping alliance, and multivariate
analyses showed that cold/distant factor, motivation
and interpersonal sensitivity factor were the
most important factors in establishing helping alliance.
Moreover, it was the alliance as perceived by the patients
(and not by the staff) that proved to be the most
essential variable. A logistic regression analysis showed
that early dropout was predicted by low helping alliance,
low age and cold/distant factor. Conclusion The
most important client factors for establishing helping
alliance and for predicting early dropout seem to be
those relevant to interpersonal processes. Furthermore,
the therapists’/staff’s responsiveness to these
client factors seems to be of decisive importance. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/148533
- author
- Johansson, Håkan
LU
and Eklund, Mona
LU
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- psychotherapy, psychiatry, therapeutic relationship, working alliance, therapeutic alliance, helping alliance, dropout, psychiatric care, patient factors
- in
- Social Psychiatry and Psychiatric Epidemiology
- volume
- 41
- issue
- 2
- pages
- 140 - 147
- publisher
- Steinkopff
- external identifiers
-
- wos:000235905500008
- scopus:33644594451
- pmid:16372143
- ISSN
- 0933-7954
- DOI
- 10.1007/s00127-005-0009-z
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Psychology (012010000), Division of Occupational Therapy (Closed 2012) (013025000)
- id
- fa40612a-c262-422d-bbe0-5b1e6a20201f (old id 148533)
- date added to LUP
- 2016-04-01 11:56:42
- date last changed
- 2022-04-21 00:09:05
@article{fa40612a-c262-422d-bbe0-5b1e6a20201f,
abstract = {{Background The study examined client factors<br/><br>
of relevance in the establishment of helping alliance<br/><br>
and in the prediction of dropout from a routine<br/><br>
psychiatric setting admitting a variety of diagnoses and<br/><br>
staffed with a multiprofessional team. Method Newly<br/><br>
admitted patients (n=122) and staff completed questionnaires<br/><br>
regarding helping alliance, and the patients<br/><br>
also completed questionnaires regarding motivation,<br/><br>
symptoms and interpersonal problems. The patients<br/><br>
were also diagnosed according to ICD-10 and were<br/><br>
followed up concerning early dropout. Results Several<br/><br>
variables correlated with helping alliance, and multivariate<br/><br>
analyses showed that cold/distant factor, motivation<br/><br>
and interpersonal sensitivity factor were the<br/><br>
most important factors in establishing helping alliance.<br/><br>
Moreover, it was the alliance as perceived by the patients<br/><br>
(and not by the staff) that proved to be the most<br/><br>
essential variable. A logistic regression analysis showed<br/><br>
that early dropout was predicted by low helping alliance,<br/><br>
low age and cold/distant factor. Conclusion The<br/><br>
most important client factors for establishing helping<br/><br>
alliance and for predicting early dropout seem to be<br/><br>
those relevant to interpersonal processes. Furthermore,<br/><br>
the therapists’/staff’s responsiveness to these<br/><br>
client factors seems to be of decisive importance.}},
author = {{Johansson, Håkan and Eklund, Mona}},
issn = {{0933-7954}},
keywords = {{psychotherapy; psychiatry; therapeutic relationship; working alliance; therapeutic alliance; helping alliance; dropout; psychiatric care; patient
factors}},
language = {{eng}},
number = {{2}},
pages = {{140--147}},
publisher = {{Steinkopff}},
series = {{Social Psychiatry and Psychiatric Epidemiology}},
title = {{Helping alliance and early dropout from psychiatric out-patient care The influence of patient factors.}},
url = {{https://lup.lub.lu.se/search/files/2713466/625183.pdf}},
doi = {{10.1007/s00127-005-0009-z}},
volume = {{41}},
year = {{2006}},
}